Institute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.
BMC Health Serv Res. 2021 Dec 2;21(1):1290. doi: 10.1186/s12913-021-07303-5.
Offshore industries operate all around the world in diverse and remote environments. The use of telemedicine to ensure up-to-date medical care for thousands of people offshore has been common practice for decades. Thus, in this setting, extensive experiences with this type of health care delivery have already been gathered, while in other settings this is just beginning. However, the quality of telemedical care on offshore installations is rarely reported yet. The objective of this review was to explore published literature with regards to the following questions: Have any Quality Indicators (QIs) been published for measuring the quality of telemedical care on offshore installations or are there identifiable items that could be used as such QIs?
We conducted a comprehensive Scoping Review (PRISMA-ScR) of the published literature using the databases MEDLINE, Cochrane Library, Web of Science (Core Collection), and Google Scholar. Search results were read and QIs or findings from which QIs could be derived were classified according to the dimensions of quality established by Donabedian (structure, process, or outcome QIs).
The search returned 10,236 non-recurring articles, 45 of which were full-text screened and 15 of which were included in this review. Types of publications were heterogenous. No QIs for the quality of telemedical care offshore have been published yet. Findings that could be the basis for QIs focused on structure quality (11 QIs) followed by process quality (11 QIs), while outcome quality was less common (1 QI).
Currently, although years of experience with telemedical care on offshore installations exist, there is a paucity of research on a solid data base regarding the quality of telemedical care offshore. The authors derived a list of 24 possible QIs from the findings of the publications for further validation. This could be the basis for implementation and definition of QIs in this and in similar remote settings.
离岸行业在世界各地的各种偏远环境中运营。几十年来，通过远程医疗为数千名海上人员提供最新医疗服务已成为惯例。因此，在这种环境下，已经积累了大量此类医疗服务的经验，而在其他环境中，这才刚刚开始。然而，离岸设施的远程医疗质量却很少有报道。本综述的目的是探讨已发表的文献，以回答以下问题：是否已经发布了任何用于衡量海上远程医疗质量的质量指标（QIs），或者是否有可以用作此类 QIs 的可识别项目？
我们使用 MEDLINE、Cochrane 图书馆、Web of Science（核心合集）和 Google Scholar 数据库对已发表的文献进行了全面的范围综述（PRISMA-ScR）。对搜索结果进行了阅读，并根据 Donabedian（结构、过程或结果 QIs）确定的质量维度对 QIs 或可从中得出 QIs 的发现进行了分类。
搜索返回了 10236 篇非重复文章，其中 45 篇进行了全文筛选，15 篇被纳入本综述。出版物的类型多种多样。尚未发布关于海上远程医疗质量的 QIs。可以作为 QIs 基础的发现侧重于结构质量（11 个 QIs），其次是过程质量（11 个 QIs），而结果质量则较少（1 个 QI）。
目前，尽管海上远程医疗服务已经有多年的经验，但关于海上远程医疗质量的研究却缺乏坚实的数据基础。作者从出版物的研究结果中得出了 24 个可能的 QIs 列表，以供进一步验证。这可以为在该领域和类似的偏远地区实施和定义 QIs 提供基础。
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